Individual
SAMANTHA ISLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1200 ROSECRANS AVE STE 206, MANHATTAN BEACH, CA 90266-2451
(310) 726-0750
Mailing address
3922 YORK BLVD, LOS ANGELES, CA 90065-3719
(323) 434-1218
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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